Participatory Vendor Selection
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Participatory Vendor Selection
Farrokh Alemi, Ph.D.
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Objectives
Facilitate communication
Create consensus
Improve documentation
The cost of EHR could bankrupt us.
This is all a waste of time
I hate computers
It should save me time
Let us redo the entire process
What is it?
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What is a model of values?
Quantify preferencesHigher numbers more preferred options
AssumptionsDecision makers have optionsSelection is based on preferences Preferences are based on attributes
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Additive Multi-Attribute Value Model
Overall Value = V (A1) + V (A2) + ... + V (An)
Value on Attribute 1
Value on Attribute 2
Value on Attribute n
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Misleading Numbers
Numbers approximate preferences
Focus should be on building behavioral consensus
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Steps in Participatory Vendor Selection
1. Invite stakeholders to participate
2. One-on-one interviews
3. Group meeting
4. Construct group’s scoring
5. Discuss major differences
6. Measuring vendor performance
7. Documentation
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Step 1: Invite Stakeholders
Many decision makersCIO, CMIO, CNOCliniciansPeople with budget authorityClinicians expected to use the system
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Step 2: One-on-One Interviews
Individual interviews before group meetingCan be done on phoneTakes about 1 hourModels preferences of the participant
Introduction to the processAttributes usedAssociated scoring system
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Step 3: Group Meeting
Construct straw model
Display model in flip chart sheets
Arrange participants facing the sheets
Introduce the task
Ask participants to introduce themselves
Review all attributes & attribute levels
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Step 4: Construct Group’s Scoring
Which is more important, cost per physician or ease of use? ______________If we assign 10 to the least important attribute, how many times more important is the other? ____ times
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Step 4: Construct Group’s Scoring
Which is more important, cost per physician or ease of use? ______________If we assign 10 to the least important attribute, how many times more important is the other? ____ times
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Step 5: Discuss Major Differences
Discuss reasons not the ratings
Check assumptions
Accept some differences and re-rate
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Step 6: Measure Vendor’s Performance
Expert rating
Standardized cases
Committee ratings DemonstrationsSite visits
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Scoring Procedure
Vendor A Vendor B Vendor C
Attribute Weight Level Rating Level Rating Level Rating
Ease of use 2 minutes 3 minutes 5 minutes
Cost 11,000/bed 15,000/bed 9000/bed
Reputation Good Excellent Good
Total
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Scoring Procedure
Vendor A Vendor B Vendor C
Attribute Weight Level Rating Level Rating Level Rating
Ease of use 0..3 2 minutes 100 3 minutes 80 5 minutes 0
Cost 0.4 11,000/bed 70 15,000/bed 0 9000/bed 100
Reputation 0.2 Good 0 Excellent 100 Good 0
Total 1.0
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Scoring Procedure
Vendor A Vendor B Vendor C
Attribute Weight Level Rating Level Rating Level Rating
Ease of use 0..3 2 minutes 100 3 minutes 80 5 minutes 0
Cost 0.4 11,000/bed 70 15,000/bed 0 9000/bed 100
Reputation 0.2 Good 0 Excellent 100 Good 0
Total 1.0
=100*.3+70*.4
=58
=80*.3+100*.2
=44
=100*.4
=40
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Step 7: Documentation
Who participated
Meeting process
Group’s consensus scoring systemAttributes, attribute levels & associated
scores
Performance of vendors
Conclusions and next steps
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Take Home Lesson
Process Matters